CFC Winter Park Gastroesophageal Reflux Disease Case Study

please answer the gerd attached questions

Questions GERD Case Study

Collect Information

1.a.

What subjective and objective information indicates the presence of GERD in this patient?

1.b.

What additional information is needed to fully assess this patient’s GERD?

Assess the Information

2.a.

Assess the severity of the GERD symptoms this patient is experiencing based on the subjective and objective information available. Are the symptoms typical or atypical in nature? Are any alarm symptoms or features present?

2.b.

Create a list of this patient’s drug therapy problems and prioritize them. Include assessment of medication appropriateness, effectiveness, safety, and patient adherence.

2.c.

What patient or lifestyle factors could be contributing to the development of GERD symptoms in this patient?

2.d.

What are other potential complications of long-standing untreated GERD?

Develop a Care Plan

3.a.

What are the goals of pharmacotherapy for this patient?

3.b.

What lifestyle modifications or nonpharmacologic therapies may improve this patient’s GERD symptoms?

3.c.

What feasible pharmacotherapeutic alternatives are available to treat this patient’s GERD symptoms?

3.d.

Create an individualized, patient-centered, team-based care plan to optimize medication therapy for this patient’s GERD and other drug therapy problems. Include specific drugs, dosage forms, doses, schedules, and durations of therapy.

Implement the Care Plan

4.a.

What information should be provided to the patient to enhance compliance, ensure successful therapy, and minimize adverse effects?

4.b.

Describe how care should be coordinated with other healthcare providers.

Follow-up: Monitor and Evaluate

5.a.

What clinical and laboratory parameters should be used to evaluate the therapy for achievement of the desired therapeutic outcome and to detect or prevent adverse effects?

5.b.

Develop a plan for follow-up that includes appropriate time frames to assess progress toward achievement of the goals of therapy.

Follow-up Questions

1.

Should the patient be placed on calcium and vitamin D supplementation because of her acid-suppressive therapy?

2.

How would you address her concerns regarding the potential for developing infections due to acid-suppressive therapy?

3.